Provider Demographics
NPI:1184669509
Name:ZATZ, SHERI (PHD)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:
Last Name:ZATZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11760 W SAMPLE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3199
Mailing Address - Country:US
Mailing Address - Phone:954-345-5644
Mailing Address - Fax:954-345-5683
Practice Address - Street 1:11760 W SAMPLE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3199
Practice Address - Country:US
Practice Address - Phone:954-345-5644
Practice Address - Fax:954-345-5683
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003629103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL73214XOtherMEDICARE ID
FL73214OtherBCBS OF FLORIDA